Small Business Energy Support Eligibility Worksheet

Business Name Business Address Contact Name Contact Email Business Registration Number

Number of Employees Annual Turnover (in local currency)

Type of Business Retail Service Manufacturing Hospitality Other

Do you have a commercial energy contract? Yes No

Monthly Energy Expenditure (estimate)

Eligibility Criteria Checklist

Criteria	Status
Is your business registered and operating?
Does your business meet the maximum number of employees requirement?
Does your business meet the annual turnover limit?
Are your energy bills in the business name?

Additional Comments